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A nurse is teaching a client who is preoperative for a neobladder urinary diversion.
Which of the following statements should the nurse make?

A.

You will have an internal pouch to store your urine.

B.

You will not be able to control your urination.

C.

You will have a stoma that is located in your abdomen.

D.

You will wear an external collection bag to drain your urine.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Neobladder urinary diversion involves creating an internal reservoir or pouch from a segment of the intestine to store urine. This new bladder is then connected to the urethra,

enabling the client to void through the urethra. This method closely mimics natural urination, allowing the client to have some control over urination.

 

Choice B rationale

This is incorrect because a neobladder is designed to allow the client to control urination. While there might be a learning curve for the client to adapt to the new bladder, the ultimate

goal is to achieve continence.

 

Choice C rationale

This describes an ileal conduit, another type of urinary diversion, where a stoma is created on the abdomen for urine to pass into an external bag. The neobladder does not involve a

stoma for urination.

 

Choice D rationale

This is incorrect as it pertains to an ileal conduit or urostomy. Clients with a neobladder do not require an external collection bag since urine is stored internally in the constructed

bladder and can be passed through the urethra. .


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View Related questions

Correct Answer is D

Explanation

Choice D rationale

Intravenous (IV) administration has the fastest rate of absorption because the medication is delivered directly into the bloodstream, bypassing the absorption barriers of the digestive

system or muscle tissue. This ensures rapid onset of action.

Choice A rationale

Enteral administration involves the gastrointestinal tract, including oral and feeding tube methods. Absorption is slower as the medication passes through the digestive system before

entering the bloodstream.

Choice B rationale

Intramuscular (IM) administration involves injecting the medication into muscle tissue, where it is absorbed into the bloodstream. Absorption is quicker than enteral routes but slower

compared to IV administration.

Choice C rationale

Topical administration involves applying medication to the skin or mucous membranes. Absorption is generally slower and is intended for local or systemic effects, depending on the medication.

Correct Answer is D

Explanation

Choice A rationale

Clients should be instructed to hold their breath for about 10 seconds after inhalation, not 2 seconds. This allows the medication to reach deeper into the lungs.

Choice B rationale

The MDI canister should not be washed after each use. Instead, it should be cleaned regularly to ensure proper functioning and avoid medication buildup.

Choice C rationale

Clients should be instructed to inhale the medication slowly and deeply over a few seconds, rather than quickly for 1 second. This ensures proper delivery of the medication to the lungs.

Choice D rationale

Shaking the MDI prior to administration is essential. This action mixes the medication evenly, ensuring that the correct dose is delivered with each puff.

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